Michigan Injuries and Illnesses Incident Report - OSHA Form 301

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Multi-State
Control #:
US-428EM
Format:
Word; 
Rich Text
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Description

This form satisfies the OSHA requirement of developing a picture of the extend of the severity of work-related incidents.
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  • Preview Injuries and Illnesses Incident Report - OSHA Form 301

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FAQ

When Should You Complete OSHA Form 301? You must complete the Injury and Illness Incident Report within seven calendar days after you receive information that a recordable work-related injury or illness has occurred at your work place.

OSHA Form 301This is a business location-based log that includes a line item for every workplace incident. OSHA Form 300AThis is an annual summary that combines all the data from the forms above, outlining all incidents at all business locations.

Basic requirement. You must use OSHA 300, 300-A, and 301 forms, or equivalent forms, for recordable injuries and illnesses.

The OSHA 300 log is a form on which businesses must record work-related injuries and/or illnesses resulting in death, loss of consciousness, days away from work, restricted work activity or job transfer, or medical treatment beyond first aid.

Establishments with 100 or more employees in the highest-hazard industries to submit Form 300 Log and Form 301 Incident Report information once a year to OSHA. These establishments would continue to be required to electronically submit information from their Form 300A Annual Summary.

Form 301 is called the Injury and Illness Incident Report, which is used to record information on how each injury or illness case occurred.

OSHA Form 301 is used by employers to create a detailed record of workplace injuries and illnesses. Employers must save the annual summary of all reports filed. Employers must also save the OSHA 301 Incident Report forms for 5 years after the end of the calendar year that the records cover.

Occupational Safety and Health Administration (OSHA) Form 301, Injury and Illness Incident Report, is used by employers to keep a record of a single injury, illness, or death in a workplace. This form is found within OSHA Form 300, which is used to log and classify all such incidents for a workplace.

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Michigan Injuries and Illnesses Incident Report - OSHA Form 301